1. WEGO Health Activist Fertility Webinar Qualification Survey

 
WEGO Health (http://www.wegohealth.com) is pleased to present "When to See a Reproductive Endocrinologist: 7 Key Factors" with Dr. Glenn Schattman.

This exclusive, live web-event will take place on Wednesday, November 4th. We will be hosting sessions at Noon Eastern, 4PM ET, 6PM ET, and 9PM ET.

Whether you're just beginning your fertility journey, or an experienced Health Activist looking for information to share with your communities, we hope you'll join us on the 4th to learn more about these 7 Key Factors.

Each of these 1-hour sessions will also include time for a live Q&A with Dr. Schattman - so bring your questions!

This program is made possible by one of WEGO Health's sponsors.

To apply, please complete the following 16 question survey - it should take about 5 minutes.

Qualifying Fertility Health Activists will be invited by e-mail to this exclusive event.

1. What phrases best represent who you are and your contributions to the online health community? (Check all that apply)

2. Approximately how often do you contribute to the online health community? (Including all forms of media – blogs, message boards, groups, question/answer sites, Twitter, etc.)

3. Including all forms of media, how many different blogs, forums, message boards, online groups, question/answer sites, etc., do you participate in? Count each group separately (for example, Yahoo! HIV Group and Yahoo! Nutrition & Diet Group is 2 groups; Twitter is 1 community, and each blog on which you comment counts as 1).

4. On average, how many people are members of the blogs, forums, message boards, online groups, question/answer sites, etc., you belong to?

5. If you write or manage a blog or online journal (Blogger, Myspace, LiveJournal, Carepages websites), please estimate how many people read your blog every month. (NOTE: Your blog can cover any range of topics; it does not need to be only about health.)

6. What is the URL of your primary blog? (Optional)

7. I recommend fertility treatment options to others:

8. How knowledgeable are you about each of these treatments (check one box per product):

 Don't Know ProductKnow of ProductSomewhat KnowledgeableKnowledgeableVery Knowledgeable
Clomid
Bravelle
Follistim
Gonal-f
Menopur

9. Based on what you know of these treatments, please give your overall impression (check one box per product):

 Very NegativeSomewhat NegativeNeutralSomewhat PositiveVery PositiveDon't Know Product
Clomid
Bravelle
Follistim
Gonal-f
Menopur

10. Based on what you know about these products, would you recommend them to others?

 Would Not RecommendUnlikely To RecommendNeutralMight RecommendWould RecommendDon't Know Product
Clomid
Bravelle
Follistim
Gonal-f
Menopur

11. In the online health communities in which you are active, what is the overall perception of the companies and products that treat fertility?

12. Where do you participate online (specific health and fertility websites you find most helpful, online communities, etc)?

13. What questions would you like to ask a physician about fertility? Specifically about seeing a Reproductive Endocrinologist?

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14. We will be holding 3 sessions of "When to See a Reproductive Endocrinologist: 7 Key Factors" on November 4th. Each session will last one hour.

Attendees will need to be online during that hour, and will have the option of listening to the webinar over their computer speakers, or over the phone.

Please indicate which session you would like to attend:

(PLEASE NOTE: ALL TIMES ARE EASTERN TIME)

*

15. Please enter your email address to receive your email invitation to join this exclusive web event:

16. OPTIONAL: Check this box if you would like us to notify you about other programs (including future educational programs), offers and content from WEGO Health:
(We'll never sell your email address and you can unsubscribe from mailings at any time)